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HHS/CMS RIN: 0938-AQ62 Publication ID: Fall 2011 
Title: Medicaid Eligibility Expansion Under the Affordable Care Act of 2010 (CMS-2349-F) 
Abstract: This rule implements provisions of the Affordable Care Act expanding access to health insurance through improvements in Medicaid, the establishment of American Health Benefit Exchanges ("Exchanges"), and coordination between Medicaid, the Children's Health Insurance Program (CHIP), and Exchanges. This rule also implements sections of the Affordable Care Act related to Medicaid eligibility, enrollment simplification, and coordination. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 431, 435, 457     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 111-148, secs 1413,1414, 2001, 2002, 2101, 2201   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 

Statement of Need: This rule expands Medicaid eligibility, simplifies Medicaid eligibility procedures, and streamlines Medicaid enrollment processes. It also coordinates eligibility processes and policies with the processes for premium tax credits for Exchange coverage. Millions of uninsured low-income persons who do not have access to, or could not afford, health insurance will obtain coverage.

Summary of the Legal Basis: The provisions that are included in this rule are necessary to implement the requirements of sections 1413, 1414, 2001, 2002, 2101, and 2201 of the Affordable Care Act.

Alternatives: None. This is a statutory requirement.

Anticipated Costs and Benefits: We anticipate that this rule provides significant benefits to low-income individuals by expanding the availability of affordable health coverage. We expect that States may incur short term increases in administrative costs (depending on their current systems and practices) but that these costs will be wholly offset by administrative savings over the longer term.

Risks: None.

Timetable:
Action Date FR Cite
NPRM  08/17/2011  76 FR 51148   
NPRM Comment Period End  10/31/2011    
Final Action  02/00/2012    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, Local, State, Tribal 
Small Entities Affected: Governmental Jurisdictions  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Sarah Delone
Deputy Director, Children and Adults Health Programs Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
S2-01-16, Center for Medicaid and CHIP Services, MS: S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5647
Email: sarah.delone2@cms.hhs.gov